Violation Details: 00405394-AP-361883

Records Request Print
Date
6/2/2025
Report number
00405394-AP-361883
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about May 15, 2025, the Alleged Victim (AV) was in the common area and had expressed to staff that he/she was wanting to go to bed. AV requires a one person assist with ambulation while using his/her wheelchair. Staff failed to assist AV to his/her room to help him/her into bed, leading to AV being found on the floor in his/her room, just outside his/her bathroom. AV was not harmed, however, AV was placed at risk for harm. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00828 $1000.00 fine assessed